Case Report

Ciliated Hepatic Foregut Cyst: Definitive Diagnosis Is Critical to the Optimal Treatment Pathway

Table 1

Comprehensive literature review.

AuthorYearAgeGenderSymptomsLocationSize (cm)ImagingTumor markerBiopsySquamous transformationTreatmentOutcome

Dardik196469FAbd pain, jaundiceR Lobe9Excision: diagnosticNot presentResection
Wheeler198469MAsymptomaticAnt seg R lobe2.5UnilocularExcision: diagnosticNot presentResection
Kadoya199041MAsymptomaticSeg 42Nonenhancing, hypoechoic (US), hypodense (CT), hypointense (SE 500/20). Hyperintense (SE 2500/25, SE 2500/80)Excision: diagnosticNot presentResection
Kadoya199056FAsymptomaticSeg 43Unilocular, nonenhancing, hypoechoic (US), hyperdense (CT)Excision: diagnosticNot presentResection
Kadoya199069MAbd painSeg 42Nonenhancing, hypoechoic (US), hypodense (CT)FNA: non-diagnosticNot present
Partial wall: diagnostic
Kimura199067MAsymptomaticSeg 43.5Unilocular, nonenhancing, hypoechoic (US), hyperdense (CT), hyperintense (T1, T2)Excision: diagnosticNot presentResectionUncomplicated
Abe199457MAsymptomaticSeg 41.9Unilocular, nonenhancing, hypoechoic (US), hypodense (CT), hypointense (T1), hyperintense (T2)Excision: diagnosticNot presentResection
Zaman199535FAsymptomaticSeg 43Nonenhancing, hypodense (CT)FNA: diagnosticNot present
Carnicer19965FAbd discomfortBetween portal vein & gallbladder2Unilocular, nonenhancing, hypoechoic (US), hypodense (CT), isointense (T1), hyperintense (T2)FNA: diagnosticNot presentObservationResolved symptoms
Hornstein199638MAbd painAnt seg R lobe3Hypoechoic (US)FNA: diagnosticNot presentResection
Hornstein199653FAsymptomaticAnt seg R lobe3Hypodense (CT)FNA: diagnosticNot present
Hornstein199669MAsymptomaticAnt seg R lobe3.5Hypodense (CT)FNA: diagnosticNot presentResection
Murakami199663FAsymptomaticSeg 42.2Nonenhancing, hypoechoic (US), hyperdense (CT), hyperintense (T2)Normal AFP. Elevated CEA, CA19-9FNA: non-diagnosticNot presentResection
Excision: diagnostic
Harty199817FAbd discomfort, jaundice, splenomegalyR Lobe8Hypoechoic (US), hyperintense (T1, T2)Squamous metaplasia
Vick (a)199951MAbd painR Lobe12Excision: diagnosticSCCResectionDeath
Vick (b)199914FJaundice6MultilocularNot present
Vick (b)199945MAsymptomaticSeg 43UnilocularNot present
Vick (b)199948MAsymptomaticR LobeUnilocularNot present
Vick (b)199959FAsymptomatic3UnilocularNot present
Vick (b)199960FAsymptomatic1.1UnilocularNot present
Vick (b)199961MAsymptomaticAnt seg R lobe2.5UnilocularNot present
Kwak200069MAsymptomaticSeg 42.5Unilocular, nonenhancing, hypodense (CT)Excision: diagnosticNot presentResection
Hirata200153MAsymptomaticSeg 44Unilocular, nonenhancing, anechoic (US), hypodense (CT), hyperintense (T1, T2)FNA: non-diagnosticNot present
Excision: diagnostic
Bogner200255MAsymptomaticR Lobe2.5Excision: diagnosticNot presentResection
Furlanetto200221MAbd pain, weight lossSeg 5, 610Polyseptated, hypoechoic (US), hypodense (CT)Normal AFP, CEA, CA19-9FNA: non-diagnosticSCCResection, chemotherapyDeath
Excision: diagnostic
Lajarte-Thirouard200240FAbd painSeg 513Irregular posterior wall, nonenhancing, hypoechoic (US), hypodense (CT), hyperintense (T1, T2)Excision: diagnosticSCCResection
Del Poggio200358FAsymptomaticSeg 42Unilocular, nonenhancing, hypoechoic with hyperechoic spots (US), hypodense (CT), hyperintense (T2)FNA: diagnosticNot presentObservation
Jakowski200440FAbd pain, N/VSeg 42.1Unilocular, hypodense (CT), hypointense (T1), hyperintense (T2)Excision: diagnosticNot presentResection
Momin200468FAsymptomaticSeg 2, 33.8Unilocular, nonenhancing, “solid appearing” (US), hypodense (CT), hypointense (MRV)Excision: diagnosticNot presentResection
Fang200530MAbd discomfortSeg 44Unilocular, nonenhancing, hypodense (CT), isointense (T1), hyperintense (T2)Excision: diagnosticNot presentResection
Rodriguez200520FAbd pain, anorexiaGallbladder fossaUnilocular, hyperintense (T2)Excision: diagnosticNot presentResection
Kang200656MAsymptomaticSeg 44.5Unilocular, nonenhancing, hypodense (CT), hyperintense (T2)Normal CEA, CA19-9Not presentResectionUncomplicated
Ben Mena200631FAbd painSeg 46Unilocular, nonenhancing, hypoechoic (US), hyperdense (CT)Normal AFP, CEA, CA19-9Excision: diagnosticSquamous metaplasiaResection
Straus200663MAsymptomaticSeg 41.5Nonenhancing, hyperdense (CT)Excision: diagnosticNot presentResectionAlive
Stringer20060MAbd distensionSeg 5, 810Unilocular, rim enhancing, hypoechoic (US), hypodense (CT), “cystic lesion” (MRI)Excision: diagnosticSquamous metaplasiaResectionL hepatic duct necrosis
Kaplan200768MAsymptomaticSeg 43Unilocular, nonenhancing, hypoechoic (US), hypodense (CT), hyperintense (T1, T2)Normal AFP. Elevated CA19-9FNA: diagnosticNot present
Young200716FAbd pain, anorexiaAnt seg R lobe6Multilocular, hyperintense (T2)FNA: non-diagnosticNot presentResection
Excision: diagnostic
Shaw200750FAbd painPorta Hepatis8Unilocular, hypodense (CT), hyperintense (T2)Normal CA19-9Excision: diagnosticNot presentResectionUncomplicated
Betalli20080FAsymptomaticSeg 45Unilocular, nonenhancing, hypoechoic (US), isointense (T1), hyperintense (T2)Excision: diagnosticNot presentResection
Geramizadeh200825MAbd painSeg 82.7Hypoechoic (US)Not presentResectionUncomplicated
Kiyochi200869FAbd pain, jaundiceSeg 42.5Unilocular, rim enhancing, hypoechoic (US), hypodense (CT), hypointense (T1), hyperintense (T2)Elevated CA19-9Excision: diagnosticNot presentResection
Sharma200828FAsymptomaticSeg 45Solid component, nonenhancing, hypoechoic (US), hypodense (CT), hyperintense (T1, T2)Normal AFP, CEA, CA19-9Excision: diagnosticNot presentResection
Zhang200960FAbd fullnessSeg 47Hypoechoic (US)Normal AFP, CEA, CA19-9Excision: diagnosticSCCResectionUncomplicated
Zaydfudim201017FAbd pain, nauseaSeg 46.5Hypoechoic (US), hypodense (CT)Normal AFPNeedle core: diagnosticNot presentResectionUncomplicated
Ambe201242MAbd painSeg 47Unilocular, hypodense (CT)Excision: diagnosticNot presentResection
Feernandez-Acenero201235FAbd painSeg IV, V7US, CTCK-19+; CA 19−9+: EMA+; TTF-1+ResectionAlive
Feernandez-Acenero201233MAsymptomaticSeg IV6.5US; hyperintense (MRI)CK-19+; CA 19−9+: EMA+; TTF-1+ResectionAlive
Khoddami20133.5MAbd painSeg 43.7Nonenhancing, hypoechoic (US), hypodense (CT)Excision: diagnosticNot presentResection
Khoddami20133.5MAsymptomaticR Lobe3.6Nonenhancing, heterogeneous, hyperechoic (US), hypodense (CT)Excision: diagnosticSquamous metaplasiaResection
Wilson201334MAsymptomaticSeg 4, 5, 814Nonenhancing, hypodense (CT), hypointense and heterogeneous (MRI)Normal AFP, CEA, CA19-9Excision: diagnosticSCCResection, TACE, systemic chemotherapy after recurrenceRecurrence and metastasis
Ben Ari201445MAbd painSeg 46.2Multilocular, nonenhancing, hypoechoic (US), hypodense (CT)Normal AFP, CEA, CA19-9FNA: diagnosticNot presentResection
Excision: diagnostic
Saravanan201432FAbd painSeg 810Nonenhancing, hypoechoic (US), hypodense (CT)Normal CA19-9Excision: diagnosticNot presentResection
Bishop201542FAbd discomfortPorta Hepatis8UnilocularNormal CEA, CA19-9Excision: diagnosticNot presentResection
Bishop201546FAsymptomaticR Liver1UnilocularNeedle core: diagnosticNot presentObservationAlive
Bishop201550FAsymptomatic10UnilocularPartial wall: diagnosticNot presentPartial resectionAlive
Bishop201558FAsymptomaticSeg 40.7UnilocularExcision: diagnosticNot presentResection
Bishop201566MAbd pain, N/V, jaundiceSeg 417UnilocularNormal CEA. Elevated CA19-9Excision: diagnosticNot presentResection
Bishop201567MAsymptomaticPorta hepatis6.5UnilocularNormal CEA, CA19-9Excision: diagnosticNot presentResectionAlive
Bruns20154MAsymptomaticSeg 77.4Hypoechoic (US), hyperintense with enhancing septations (T2)Normal AFPExcision: diagnosticNot presentResectionUncomplicated
Grizzi201533MAsymptomaticL Lobe6.5Hypoechoic (US), hyperintense (T2)Not presentResection
Grizzi201535FAbd discomfortSeg 4, 57Hypoechoic (US), hypodense (CT)Not presentResection
Grizzi201545MAbd painSeg 42Hypoechoic (US)Not presentResection
Grizzi201563FAsymptomaticUnilocular, hypodense (CT)Not presentResection
Beteddini201633FAbd pain, vomitingTriangle of Calot1.5UnilocularExcision: diagnosticNot presentResection
Cottreau201657FAbd pain, jaundiceCommon hepatic duct1.7Unilocular, hypoechoic (US), hyperintense (T2)Excision: diagnosticNot presentResectionUncomplicated
Ansari-Gilani†201752MAbd painSeg 42Hypodense (CT), hyperintense (T2)UnspecifiedNot present
Ansari-Gilani†201762FAsymptomaticSeg 41.5Nonenhancing, hypodense (CT), hyperintense (T1)UnspecifiedNot present
Ansari-Gilani201768MAsymptomaticSeg 4Nonenhancing, hypodense (CT), hyperintense (T1, T2)UnspecifiedNot present
Enke201954MAsymptomaticSeg 42.7Solid component, nonenhancing, hypodense (CT), hyperintense (T2)Excision: diagnosticNot presentResectionUncomplicated
Itose202050FAbd painSeg 44Solid component, calcification, hypodense (CT)Normal AFP, CEA. Elevated CA19-9Excision: diagnosticSCCResection, chemotherapyRecurrence and metastasis; alive at 30 months
Ziogas202039MIncidental4B2.5UnilocularLap wedge resection/cyst unroofing1 LOS
Ziogas202073FIncidental72.9UnilocularWedge resection4 LOS
Ziogas202064FIncidental4A2UnilocularCentral Liver wedge resection7 LOS
Ziogas202049MIncidental4B2.5UnilocularLap wedge resection2 LOS
Ziogas202061FIncidental4A2.4UnilocularRob wedge resection3 LOS
Ziogas202017MIncidental4A1.5UnilocularLap wedge resection/cyst unroofing0 LOS
Ziogas202063MEpigastric pain4A2UnilocularLap wedge resection2 LOS
Ziogas202062MIncidentalFalciform ligament0.8UnilocularLap wedge resection2 LOS
Ziogas202058MIncidental4A3MultilocularLap wedge resection/cyst unroofing1 LOS
Ziogas202047MIncidental41.3UnilocularLap wedge resection1 LOS
Ziogas202067MIncidentalFalciform ligament2UnilocularHepatectomy for liver transplant83 LOS
Ziogas202079MAbd pain (lower)43UnilocularWedge resection18 LOS
Ziogas202078MAbd pain (right side)4A-83.5UnilocularWedge resection/cyst unroofing110 LOS
Seyed-alagheband202341FAbd pain; palpable massSeg 4130Subhepatic cyst with internal septations (US and CT)Normal LFTsNoNot presentLap resectionUncomplicated 1.5 years
Kato202375MAsymptomaticSeg 42.6Unilocular, nonenhancing, hypodense (CT)Normal AFP. Elevated CEAExcision: diagnosticNot presentResectionUncomplicated

All reports were in English and able to be procured by our institution; grayed boxes indicate that the report did not provide that information; age = age at diagnosis; author reports a biopsy was conducted by did not specify the type; Vick et al. reports a case of SCC (a) and a review of 6 cases (b), both published in the same year; “nausea and vomiting” abbreviated with “N/V;” “abdominal” abbreviated with “abd;” “left” and “right” abbreviated with “L” and “R,” respectively; “anterior” abbreviated with “ant;” “segment” abbreviated with “seg.”